What to Expect from Lymphovenous Bypass Surgery: A Patient's Guide

What is Lymphovenous Bypass Surgery?

For those grappling with the physical and emotional toll of lymphedema, relief can often feel out of reach. The persistent swelling and discomfort can disrupt daily life and overshadow even the simplest joys. However, for patients seeking a solution, lymphovenous bypass surgery offers more than just hope—it delivers a path toward restored mobility and improved quality of life. At The Institute for Lymphatic Surgery and Innovation, a division of The Institute for Advanced Reconstruction, expert physicians such as Russell Ashinoff, MD, FACS, are at the forefront of care, providing patients with access to world-class surgical expertise.

Lymphovenous bypass surgery is a cutting-edge procedure designed to address the root cause of lymphedema by improving lymphatic drainage and reducing swelling. Using advanced microsurgical techniques, surgeons create small connections between blocked lymphatic vessels and nearby veins, allowing excess lymph fluid to bypass damaged areas and reenter the bloodstream. 

"Lymphovenous bypass surgery is a microsurgical procedure that improves lymphatic drainage, reducing swelling and discomfort for patients with lymphedema. While it is not a cure, it can significantly enhance mobility and quality of life."

According to Dr. Ashinoff, the goal of this procedure is to alleviate swelling, restore function, and enhance the patient’s quality of life, enabling them to reclaim a sense of normalcy. 

What to Expect Before Surgery

Before undergoing lymphovenous bypass surgery, you’ll have a thorough pre-surgical consultation with one of our surgeons to ensure you’re fully prepared and that the procedure is right for you. "The best candidates for lymphovenous bypass surgery are patients with early-stage lymphedema who still have some functional lymphatic vessels,” explains Dr. Ashinoff. “Advanced imaging helps us determine whether this procedure is the right option." 

During your consultation appointment, your surgeon will review your medical history, assess the severity of your lymphedema, and discuss your goals. You may need imaging tests, such as lymphoscintigraphy or MR lymphangiography, to map your lymphatic system and determine the best surgical approach. 

In the weeks leading up to surgery, you may be asked to make some lifestyle adjustments, such as maintaining a healthy weight, managing any underlying conditions, and staying active to support circulation. Your surgeon will also outline recovery expectations and requirements with you to ensure you feel prepared to move forward with this transformative procedure.

What Happens During the Procedure?

Lymphovenous bypass surgery is typically performed under general anesthesia, ensuring you remain comfortable throughout the entirety of this minimally invasive procedure. The surgery usually lasts between two and four hours, depending on the complexity of your condition and the number of bypass connections needed. During the procedure, your surgeon will use advanced imaging techniques to identify and map lymphatic vessels in real-time. This method ensures the most effective connections are made between lymphatic vessels and veins to improve drainage.

 Using highly specialized microsurgical techniques, your surgeon will then create small incisions to access and connect the delicate lymphatic and venous structures. These connections, often less than a millimeter wide, are performed under a high-powered microscope to ensure success. 

Recovery and Results After Lymphovenous Bypass Surgery

Recovery from lymphovenous bypass surgery typically does not involve a hospital stay.  In the immediate post-surgical period, your surgeon may instruct you to wear compression garments, avoid strenuous activity, and attend follow-up appointments. Swelling and mild discomfort are common but manageable with prescribed medications and compression. 

"Most patients experience a gradual improvement in swelling over several months,” mentions Dr. Ashinoff. “Long-term success depends on ongoing compression therapy, an active lifestyle, and individualized follow-up care." When successful, lymphovenous bypass can significantly reduce swelling, improve mobility, and enhance overall quality of life. Many patients experience a renewed sense of freedom and confidence as they regain control over their condition.

If you’re ready to explore your options for treating and managing lymphedema with bypass surgery, contact Dr. Ashinoff and the care team at The Institute for Lymphatic Surgery and Innovation, part of The Institute for Advanced Reconstruction, for a consultation today.

Call (551) 223-1023 to schedule an appointment with Dr. Ashinoff.